100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
CPMA Top Exam Questions and answers. Approved Rated A+ CA$13.70   Add to cart
Quickly navigate to
Preview
  2.  
  3. CPMA
  4.  
  5. CPMA
  6.  
  7. CPMA

Exam (elaborations)

CPMA Top Exam Questions and answers. Approved Rated A+

 3 views  0 purchase

CPMA Top Exam Questions and answers. Approved Rated A+ Which option is NOT part of the seven elements that should be included in a compliance plan based on the OIG's recommendations? a. Responding promptly to detected offenses and developing corrective action. b. Conducting effective training...

[Show more]

Preview 2 out of 8  pages

Document information

  • February 13, 2023
  • 8
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

Subjects

  • cpma top exam questions and answers approved rated a which option is not part of the seven elements that should be included in a compliance plan based on the oigs recommendations a respondin

Written for

All documents for this subject (673)

Seller

avatar-seller
QuickPass

Reviews received

Content preview

CPMA Top Exam Questions and
answers. Approved Rated A+
Which option is NOT part of the seven elements that should be included in a compliance plan based on
the OIG's recommendations?

a. Responding promptly to detected offenses and developing corrective action.

b. Conducting effective training and education.

c. Identifying employees on the exclusions list.

d. Developing effective lines of communication. - ✔✔-c. Identifying employees on the exclusions list.



The OIG's Compliance Program Guidance for Individual and Small Physician Group Practices identifies
four risk areas affecting physician practices. What are the four risk areas? - ✔✔-Coding and billing;
reasonable and necessary services; documentation; and improper inducements, kickbacks, and self-
referrals.



What does the MUE table tell? - ✔✔-maximum number of units a procedure can be reported on the
same date of service



What does MUE stand for? - ✔✔-Medically Unlikely Edits



What does CMS stand for? - ✔✔-Centers for Medicare and Medicaid



What does CIA stand for? - ✔✔-Corporate Integrity Agreeement



What is a corporate integrity agreement? - ✔✔-Document outlining the obligations that a company
involved in health care in the United States makes with a federal government agency or a state
government as part of a civil settlement



Which is not a core requirement of CIAs?

a. Restrict employment of ineligible persons.

, b. Hire an OIG employee to oversee the compliance efforts.

c. Develop written standards and policies.

d. Provide an implementation report and annual reports to OIG on the status of the entity's compliance
activities. - ✔✔-b. Hire an OIG employee to oversee the compliance efforts.



What is a Complex audit review? - ✔✔-A complex review is based on data and potential human review
of a medical record or other documentation.



What is an automated audit review? - ✔✔-Review based solely on the submitted claims and regulatory
guidelines. No medical records are needed.



What is Qui Tam Relator? - ✔✔-A person who brings a civil action for a violation for him/herself and for
the US Government



What are the MIPS performance categories? - ✔✔-I. Costs

II. Advance Care Info. (Promoting Interoperability)

III. Quality

IV. Improvement Activities



When a Discovery Sample is performed, what error rate requires a Full Sample to be reviewed? - ✔✔-An
error rate that exceeds five percent.



What program is provided by the OIG to assist in random selection of charts for a Discovery Sample? -
✔✔-The OIG provides a statistical sampling program called RAT-STATS.



When a provider is excluded under the Exclusions Statute, what must he or she do at the end of the
exclusionary period? - ✔✔-The provider must apply for reinstatement.



Which are the requirements for financial penalties to be mitigated in a federal False Claims Act case? -
✔✔--Person self discloses within 30 days of knowing about the violation.

-No criminal prosecution, civil action, or administrative action has commenced

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller QuickPass. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$13.70. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

64438 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$13.70
  • (0)
  Add to cart